Department of Public Health Programmes, Randers, Denmark.
Department of Public Health Programmes, Randers, Denmark; Division of Population Medicine, Cardiff University, Cardiff, UK.
Patient Educ Couns. 2019 Jul;102(7):1373-1379. doi: 10.1016/j.pec.2019.02.025. Epub 2019 Feb 28.
To explore perceptions of colorectal cancer (CRC) screening among participants who have experienced a 'false alarm' for CRC, and to explore perceptions about the relevance of screening for themselves or others.
Semi-structured interviews with screening participants who had participated in the Danish CRC screening program and experienced a 'false alarm' for colorectal cancer. A thematic analysis was performed, based on an interpretive tradition of ethnography.
Perceptions about CRC screening after a non-cancer colonoscopy result were characterized by trust in the colonoscopy result showing no CRC, and satisfaction with the screening offer despite the risk for 'false alarm'. The patient-involving behavior of the healthcare professionals during the examination was for most participants a cornerstone for trusting the validity of the colonoscopy result showing no CRC. Strong notions about perceived obligation to participate in screening were common.
Prominent themes were trust in the result, satisfaction with the procedure, and moral obligations to participate both for themselves and for others.
Information to future invitees after a 'false alarm' experience could build on peoples' trust in the validity of a previous non-cancer result and should underscore the importance of subsequent screening even after a 'false alarm' for cancer.
探讨经历过结直肠癌（CRC）“假警报”的参与者对 CRC 筛查的看法，并探讨他们对自身或他人筛查相关性的看法。
对参加过丹麦 CRC 筛查计划并经历过结直肠“假警报”的筛查参与者进行半结构化访谈。采用基于民族志解释传统的主题分析方法。
在非癌症结肠镜检查结果后对 CRC 筛查的看法的特点是对结肠镜检查结果显示没有 CRC 的信任，以及对筛查提供的满意度，尽管存在“假警报”的风险。在检查过程中，医护人员的患者参与行为是大多数参与者信任结肠镜检查结果显示没有 CRC 的基石。普遍存在对感知到的参与筛查的义务的强烈观念。
突出的主题是对结果的信任、对程序的满意度以及对自身和他人进行筛查的道德义务。
“假警报”体验后的未来邀请者的信息可以建立在人们对先前非癌症结果有效性的信任基础上，并应强调即使发生癌症“假警报”后后续筛查的重要性。
